Paramedical Practitioners Sample Clauses

Paramedical Practitioners. The following expenses are reimbursed one-hundred percent (100%) subject to the specified per visit maximums. Referral to these services by a licensed physician is not required for reimbursement. Professional services of the following licensed, certified or registered paramedical practitioners (when operating within their recognized fields of expertise) up to $275 for each covered person per benefit plan year for each practitioner: Chiropractor*, Massage Therapy, Naturopath, Chiropodist, Osteopath*, Physiotherapist, Podiatrist, Psychologist, Speech Therapist, Audiologist, Social Worker, Dietician and Occupational Therapist. * includes a maximum of $15 for one x-ray examination ordered by a licensed chiropractor or osteopath. ** an additional $100 per benefit plan year may be paid per covered person for the surgical removal of toenails or the excision of plantar warts. Note: Under some circumstances, benefits may not be payable until the government plan, where applicable, has paid its yearly maximum. Where a practitioner is charging over and above the government fee schedule, the difference between the government fee and the practitioner charge may be claimed. Professional services of a Registered Nurse (RN), only while the patient is not confined to a hospital, up to a maximum of $15,000 during any period of three (3) consecutive benefit plan years. The Registered Nurse (RN) or practitioners noted above may not be someone normally residing in the patient’s home. Hearing Aids up to a maximum benefit of $500 for each covered person, every five (5) benefit years.
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Paramedical Practitioners. Charges for professional paramedical practitioners subject to an annual maximum payment of $750 for the combined services of all the following specified paramedical practitioners: Charges for diagnostic x-rays and laboratory tests ordered by a chiropractor, osteopath, podiatrist or chiropodist will be covered under the services of such practitioners subject to a maximum of one (1) x-ray per practitioner in any one (1) calendar year: 1) chiropractors, osteopaths, podiatrists, chiropodists, naturopath, acupuncturist; 2) clinical psychologists, speech therapists, physiotherapy or registered masseurs, if specified as medically necessary by a physician.
Sample 1Sample 2
Paramedical Practitioners. Maximum: $500 per practitioner in a calendar year $35 for X-rays in a calendar year per practitioner Overall maximum: $1,500 in a calendar year for all practitioners Charges for treatment, except when performed in a hospital, by a licensed speech therapist, massage therapist, clinical psychologist, chiropractor, osteopath, physiotherapist, acupuncturist, chiropodist/podiatrist or naturopath. Charges for the following remedial appliances or supplies, when authorized by the attending physician: - artificial limbs (limited to one prosthetic appliance to each limb in a lifetime); - breasts (limited to a left and a right prosthesis every two consecutive calendar years); - eyes (limited to one left and one right prosthesis in a lifetime); - canes or crutches (limited to two in a lifetime); - splints; - casts; - trusses (limited to one truss every five consecutive calendar years); and - braces (limited to one cervical collar in a calendar year and all other braces are limited to one in a lifetime). Replacement must be due to pathological or physiological change. Repairs and/or adjustments are provided to a maximum eligible expense of $300 in a calendar year. Hair prosthetics (wigs), when hair loss is due to an underlying pathology or its treatment, to a maximum eligible expense of $300 in a lifetime. Hair prosthetics, replacement therapy and other procedures for physiological hair loss are excluded (i.e., male pattern baldness).
Sample 1Sample 2
Paramedical Practitioners. Retirement is defined as an employee who has been accepted and is in receipt of a pension (Unifor Pension Plan or Canada Pension Plan). Employees with a minimum of 15 years’ service who retire between the ages of 55 and 58 shall have these benefits provided at a 70%(Local) 30%(Rep) cost share until they reach 58 years of age. It is understood that employees will have the option to utilize all outstanding or banked vacation, sick days (as appropriate), or personal days prior to their retirement date.
Sample 1
Paramedical Practitioners. The following expenses are reimbursed one-hundred percent (100%) subject to the specified per visit maximums. Referral to these services by a licensed physician is not required for reimbursement. Professional services of the following licensed, certified or registered paramedical practitioners (when operating within their recognized fields of expertise) up to $275 for each covered person per benefit plan year for each practitioner: Chiropractor*, Massage Therapy, Naturopath, Chiropodist, Osteopath*, Physiotherapist, Podiatrist**, Psychologist, Speech Therapist, Audiologist, Social Worker, Dietician and Occupational Therapist. ** an additional $100 per benefit plan year may be paid per covered person for the surgical removal of toenails or the excision of plantar warts. Note: Under some circumstances, benefits may not be payable until the government plan, where applicable, has paid its yearly maximum. Where a practitioner is charging over and above the government fee schedule, the difference between the government fee and the practitioner charge may be claimed. Professional services of a Registered Nurse (RN), only while the patient is not confined to a hospital, up to a maximum of $15,000 during any period of three (3) consecutive benefit plan years. The Registered Nurse (RN) or practitioners noted above may not be someone normally residing in the patient’s home. Hearing Aids up to a maximum benefit of $500 for each covered person, every five (5) benefit years.
Sample 1
Paramedical Practitioners. The following expenses are reimbursed one-hundred percent (100%) subject to the specified per visit maximums. Referral to these services by a licensed physician is not required for reimbursement. Professional services of the following licensed, certified or registered paramedical practitioners (when operating within their recognized fields of expertise) up to for each covered person per benefit plan year for each practitioner: Chiropractor*, Massage Therapy, Naturopath, Chiropodist, Osteopath*, Physiotherapist,Podiatrist**, Psychologist, Speech Therapist, Audiologist, Social Worker, Dietician and Occupational Therapist. includes a maximum of for one x-ray examination ordered by a licensed chiropractor or osteopath an additional per benefit plan year may be paid per covered person for the surgical removal of toenails or the excision of plantar warts. Note: Under some circumstances,benefits may not be payable until the government plan, where applicable, has paid its yearly maximum. Where a practitioner is charging over and above the government fee schedule, the difference between the government fee and the practitioner charge may be claimed. Professional services of a Registered Nurse only while the patient is not confined to a hospital, up to a maximum of during any period of three (3) consecutive benefit plan years. The Registered Nurse or practitioners noted above may not be someone normally residing in the patient’s home. Hearing Aids up to a maximum benefit of for each covered person, every five (5) benefit years. FOR ALL DIVISIONS ELIGIBLE EXPENSES Eligible Expenses are charges for the following services or supplies which are medically necessary in relation to the nature and severity of the Illness. Prescription Drug Benefit Drugs or supplies must be prescribed by a Doctor or Dentist and dispensed by a licensed pharmacist. Certain Drugs prescribed by other qualified health professionals will be covered the same way as if the drugs were prescribed by a Doctor or a Dentist if the applicable provincial legislationpermits them to prescribe those drugs. For Public Health Subject to Ineligible Expenses, charges for medication listed in the Federal or Provincial Drug Schedules which bears a Drug Identification Number (DIN) and which requires a prescription. Injectable drugs, injectable vitamins, and allergy extracts bearing a DIN. Extemporaneouspreparations and compounds, of which at least one ingredient is an eligible drug under this benefit provision. All d...
Sample 1
Paramedical Practitioners. Managed Drug Formulary 80% If purchased Xxxx Group Limited corporate stores. $2.00 Minimum payment per prescription Yes Mandatory generic substitution, drug must be covered under managed formulary $400 per lifetime Excluded Excluded 100% semi-private 100% maximum of $10,000 for 12 months per condition 70% reimbursement to a maximum of $300 per practitioner per calendar year for Chiropractor, Podiatrist, Naturopath, Osteopath, Physiotherapist, Masseuse, Acupuncturist, Psychologist/Social Worker (combined) and Speech Therapist. Managed Drug Formulary 100% If purchased at Xxxx Group Limited corporate stores. $2.00 Minimum payment per prescription Yes Mandatory generic substitution, drug must be covered under managed formulary $400 per lifetime Excluded Excluded 100% private or semi-private 100% maximum of $10,000 for 12 months per condition 90% reimbursement to a maximum of $500 per practitioner per calendar year for Chiropractor, Podiatrist, Naturopath, Osteopath, Physiotherapist, Masseuse, Acupuncturist, Psychologist/Social Worker (combined) and Speech Therapist. CORE PLAN ENHANCED PLAN EXTENDED HEALTHCARE (CONT’D) Vision Care No coverage 100% to a maximum of $300 per 24 months (frames, lenses, contact lenses, laser eye surgery) Eye Examination 100% to a maximum of $50 per 24 months 100% to a maximum of $50 per 24 months Out of Province Emergency 100% 100% Out of Province Referral 100% to a maximum of $10,000 for life (for services not available in province of residence (limited to Canada and U.S.)) 100% to a maximum of $10,000 for life (for services not available in province of residence (limited to Canada and U.S.)) Travel Assist Yes Yes Hearing Aids 70% to a maximum of $500 every 4 years 90% to a maximum of $500 every 4 years Custom fitted Orthopedic Shoes & Custom-made foot Orthotics 70% to a maximum of $300 every 2 calendar years (must be prescribed by doctor, podiatrist or chiropodist) 90% to a maximum of $300 every 2 calendar years (must be prescribed by doctor, podiatrist or chiropodist) Ambulance 100% 100% Other Health 70% 90% Survivor Benefit 24 months 24 months Termination Clause Coverage terminated at termination or retirement Coverage terminated at termination or retirement Single Nil $17.01 – Biweekly(plus appl. Taxes) Family Nil $44.33 – Biweekly(plus appl. Taxes) *plus provincial sales tax where applicable Discount applies to all merchandise in Corporate stores except prescriptions, baby formula, postage stamps, lottery and transit tickets, ...
Sample 1
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Related to Paramedical Practitioners

  • Medical Verification The Town may require medical verification of an employee’s absence if the Town perceives the employee is abusing sick leave or has used an excessive amount of sick leave. The Town may require medical verification of an employee’s absence to verify that the employee is able to return to work with or without restrictions.

  • Medical Services We do not Cover medical services or dental services that are medical in nature, including any Hospital charges or prescription drug charges.

  • Medical Examinations An employee may be required by the Employer, at the request of and at the expense of the Employer, to take a medical examination by a physician of the employee's choice. Employees may be required to take skin tests, x-ray examination, vaccination, inoculation and other immunization (with the exception of a rubella vaccination when the employee is of the opinion that a pregnancy is possible), unless the employee's physician has advised in writing that such a procedure may have an adverse affect on the employee's health.

  • Outpatient If you receive infusion therapy services in a hospital's outpatient unit, we cover the use of the treatment room, related supplies, and solutions. For prescription drug coverage, see Section 3.27

  • Medical Plan ‌ Eligible employees and dependants shall be covered by the British Columbia Medical Services Plan or carrier approved by the British Columbia Medical Services Commission. The Employer shall pay one hundred percent (100%) of the premium. An eligible employee who wishes to have coverage for other than dependants may do so provided the Medical Plan is agreeable and the extra premium is paid by the employee through payroll deduction. Membership shall be a condition of employment for eligible employees who shall be enrolled for coverage following the completion of three (3) months’ employment or upon the initial date of employment for those employees with portable service as outlined in Article 14.12.

  • Chiropractic Services This plan covers chiropractic visits up to the benefit limit shown in the Summary of Medical Benefits. The benefit limit applies to any visit for the purposes of chiropractic treatment or diagnosis.

  • Non-Medical, Personalized Services The Practice shall also provide Members with the following non-medical services:

  • Hospice Individuals whose permanent residence and principal work location are outside the State of Minnesota and outside of the service areas of the health plans participating in Advantage. If these individuals use the plan administrator’s national preferred provider organization in their area, services will be covered at Benefit Level Two. If a national preferred provider is not available in their area, services will be covered at Benefit Level Two through any other provider available in their area. If the national preferred provider organization is available but not used, benefits will be paid at the POS level described in paragraph “i” below. All terms and conditions outlined in the Summary of Benefits will apply.

  • Specialists Persons working within a juridical person who possess uncommon knowledge essential to the commercial presence’s production, research equipment, techniques or management. In assessing such knowledge, account will be taken not only of knowledge specific to the commercial presence, but also of whether the person has a high level of qualification referring to a type of work or trade requiring specific technical knowledge, including membership of an accredited profession.

  • Medical Examination Where the Employer requires an employee to submit to a medical examination or medical interview, it shall be at the Employer's expense and on the Employer's time.

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